Individual
SUSAN BOSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
400 VETERANS AVE, BILOXI, MS 39531-2410
(228) 523-5558
(228) 523-4979
Mailing address
400 VETERANS AVE, BILOXI, MS 39531-2410
(228) 523-5558
(228) 523-4979
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
11903
LA
Other
Enumeration date
08/03/2006
Last updated
07/08/2007
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